Active NPI
Aniek Bradley, LMFT
- Marriage & Family Therapist
- Miami, FL
National Provider Identifier
1982904504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT2749
- Practice address
- 15190 SW 136TH St Ste 25
Miami, FL 33196-2618 - Phone
- (786) 285-2396
- Fax
- (305) 254-4339
- NPI assigned
- Oct 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMT1458 | FL | |
| Marriage & Family Therapist | 106H00000X | MT2749 | FL | Primary |
Addresses
Primary practice location
15190 SW 136TH St Ste 25
Miami, FL 33196-2618
Mailing address
15190 SW 136TH St Ste 25
Miami, FL 33196-2618
Phone (786) 285-2396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12640850 | Other | FL | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT1458 | FL | MD | Marriage & Family Therapist |
| MT2749 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1982904504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15190 SW 136TH ST STE 25",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962618",
"telephone_number": "786-285-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 SW 136TH ST STE 25",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962618",
"telephone_number": "786-285-2396",
"fax_number": "305-254-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "ANIEK",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT1458",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12640850",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.